EVALUATION OF THE ROLE OF THE ACCENT METHOD OF VOICE THERAPY AFTER MICROLARYNGEAL PHONOSURGERY

Abstract

Dysphonia is a general term for voice disorders as the main symptom of laryngeal lesions; it seriously affects the life quality of patients and interpersonal communication. It is known that the primary factor for dysphonia is imperfect closure of the glottis which is easy to diagnose by laryngoscopy. Also, vocal fold stiffness or alteration of it’s layer structures is another factor responsible for dysphonia (ASHA, 2016). Treatment is mainly comprehensive therapy either conservative treatment or surgical interventions. Conservative treatments are mainly based on voice hygienic advice and voice training (i.e. voice therapy) (Li Lin et al., 2014). Ponosurgery is a laryngeal surgery done solely or primarily to improve phonation which requires some glottic adjustment by altering the physical characteristics, placement, contour and function of the vocal folds. Therefore, when closure is improved, often gains are achieved not only in voice but also in breathing and swallowing. It is based on the intended